Five-year functional outcomes and vault of -20 diopter myopic phakic intraocular lens implantation

Journal of Cataract and Refractive Surgery
Carlos LisaJosé F Alfonso

Abstract

To evaluate refractive and visual outcomes and complications associated with phakic intraocular lens (pIOL) implantation to correct high myopia. Fernández-Vega Ophthalmological Institute, Oviedo, Spain. Retrospective observational case series. Uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA), refraction, vault, and adverse effects were evaluated after 5 years with Visian ICMV4 pIOL. Mean spherical equivalent (SE) dropped from -18.32 ± 2.37 diopters (D) preoperatively to -0.88 ± 0.52D 5 years postoperatively; 61% of eyes were within ±0.75 D of the target. The mean Snellen decimal CDVA and UDVA were 0.73 ± 0.23 and 0.55 ± 0.26, respectively. More than 50% of eyes achieved 20/25 or better CDVA postoperatively. Four eyes had lost 2 or 1 lines of CDVA, 10 eyes had not lost any lines from preoperatively, and 46 eyes had gained 1 or more lines of CDVA 5 years postoperatively. The safety index was 1.26 ± 0.32. Forty eyes had UDVA of 20/40 or better postoperatively. The efficacy index was 0.99 ± 0.42. At 5-year follow-up, the mean central vault was 475.28 ± 216.38 μm. No eyes showed central contact between the pIOL and crystalline lens. Nevertheless, 10 eyes showed peripheral contact with a central v...Continue Reading

References

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Dec 25, 2002·Journal of Cataract and Refractive Surgery·Stephen S BylsmaRobert H Osher
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Mar 25, 2010·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·José F AlfonsoRobert Montés-Micó
Apr 23, 2011·Journal of Cataract and Refractive Surgery·José F AlfonsoRobert Montés-Micó
Jun 30, 2011·Journal of Refractive Surgery·Paulo FernandesRobert Montés-Micó
Nov 19, 2013·American Journal of Ophthalmology·Akihito IgarashiKazutaka Kamiya

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